| NPI | 1619264363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE DEGHETALDI CEO/Md 831-458-5695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G84058) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2012-02-13 |