| NPI | 1154608974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAJA MOINUDDEEN M.D 337-706-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX N0286) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2013-09-03 |