| NPI | 1477179463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOPAL S GRANDHIGE Treasurer 813-684-6006 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-07-06 |