| NPI | 1073726394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAI H LEE Owner 330-384-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35059614) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |