| NPI | 1003834672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J PLANZ President 334-794-2825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AL 00007208) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: AL 00007208) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2013-08-19 |