| NPI | 1548571177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L. SMALL President 415-923-3866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G10566) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-06-29 |