| NPI | 1225541683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY TAYLOR Account Manager 757-252-2765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |