| NPI | 1689825499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL DAVID ABRAHAM CFO 337-456-6525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: LA MD07649R) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2020-07-09 |