NPI | 1942245220 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN ROBERT BUSBY Owner 870-541-0668 |
Organization Subpart ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
Enumeration Date | 2006-06-19 |
Last Update Date | 2020-08-22 |