| NPI | 1609900984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIM ANTAKLI President 501-225-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AR E0014) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |