| NPI | 1861733974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAME D IBERDEMAJ President 559-673-5657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA 112001) |
| Additional Taxonomies | 2086S0129X (Licence: CA 112001) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA 112001) | |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |