| NPI | 1508934845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH KORVER President 707-569-7860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G0522350) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2021-07-15 |