| NPI | 1356510838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO C AKBIK Office Manager 901-529-7138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: TN MD11398) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2009-10-07 |