| NPI | 1669595526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIA MAGDALENE BERKS Biller 770-378-2449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: GA 35864) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: GA 35864) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2012-09-10 |