| NPI | 1649451345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT RANDOLPH WATERFORD President 505-242-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NM MD2006-0459) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2008-07-24 |