| NPI | 1942797378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON A BOGERTY President 408-971-4994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G27618) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |