NPI | 1689931867 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL M DEREN President 860-443-5469 |
Organization Subpart ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CT 15198) |
Enumeration Date | 2012-04-12 |
Last Update Date | 2012-04-24 |