| NPI | 1699031518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTOBAL G ALVARADO Owner 207-621-2428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 208600000X Surgery |
| 2086S0129X Surgery, Vascular Surgery | |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2012-04-11 |