NPI | 1215070503 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDALL SCOTT JULEFF Owner 985-373-7118 |
Organization Subpart ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA 9083R) |
Enumeration Date | 2007-02-15 |
Last Update Date | 2012-10-17 |