| NPI | 1104082031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH G PROTAIN Dr. 330-953-3515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: OH 34-008446) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2014-06-06 |