| NPI | 1548254212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD CHOCK President 209-847-2201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G13634) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G37486) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2015-04-28 |