| NPI | 1841289113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD NAZEM Owner Partner 315-423-7192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2016-02-09 |