| NPI | 1821534058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIM KHANDEKAR Md 901-396-3061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 10427) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-01-23 |