| NPI | 1790253318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO DE ALBA CERVERA Owner 928-315-2796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2023-06-13 |