NPI | 1790760692 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID H GILLILAND Secretary 662-844-5344 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
Enumeration Date | 2005-12-13 |
Last Update Date | 2010-01-15 |