| NPI | 1790033959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD RICHARD WILSON President 707-965-2181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA A24934) |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2012-08-20 |