NPI | 1104866599 |
---|---|
Entity Type | Organization |
Authorized Contact | LUCY F DERMO Business Manager 478-743-9762 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 2086S0129X Surgery Vascular Surgery |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
Enumeration Date | 2006-06-07 |
Last Update Date | 2020-08-22 |