| NPI | 1144268798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT FIETSAM President 910-323-9922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-08-22 |