| NPI | 1467571430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS STACKER CEO 662-378-3783 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2022-11-14 |