| NPI | 1861792558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOWRI NADARAJA Manager 510-538-2146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 2086S0129X |
| 208600000X Surgery | |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-11-03 |