| NPI | 1760849905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ROBERT GUNDRY President 760-323-5553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-02-01 |