| NPI | 1942272000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO A HERRERA President 901-761-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TN 010543) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2011-04-12 |