| NPI | 1962561738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | G. JAMES AVERY President 415-923-3150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CA G38981) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |