| NPI | 1851638217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL C LAM President 214-345-4160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2021-04-02 |