| NPI | 1609117357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM BROOK Member 404-935-6960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2014-06-16 |