| NPI | 1740657279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOSEPH MCKENNA President 424-272-0337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G39081) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2015-09-01 |