| NPI | 1851424410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME M MCDONALD Surgeon 209-948-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA C52651) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |