| NPI | 1063587269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERLIS MARTINO President 501-223-2860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2007-10-09 |