| NPI | 1619236452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMZI DEEIK President 707-255-8825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A79076) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2012-09-05 |