| NPI | 1659414605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUJEAN JENNINGS Persident 716-885-0602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-12-21 |