| NPI | 1013398676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARDO D MARTINEZ Owner 419-382-9427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: OH 35039917) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |