| NPI | 1952169682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEA PRIBYL President 707-646-4414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |