| NPI | 1891296547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL CLAY CONVILLE Director, Physician Services 205-759-6165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 2086S0129X Surgery Vascular Surgery |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2023-02-17 |