| NPI | 1932169406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOPE TAN VILLA President 410-296-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MD D15824) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-08-22 |