| NPI | 1669619987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT LANE ALBERTY Owner/Surgeon 501-219-1970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: AR E-5295) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-08-17 |