| NPI | 1124172242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN K KWAN President 334-264-7156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AL 23435) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |