| NPI | 1952575219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO M JARA Owner 810-732-8621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: MI FJ037807) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-11-21 |