| NPI | 1720388267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA PLEFFNER Credentialing Manager 301-860-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D0053733) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D0053733) |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2019-05-07 |