| NPI | 1174948053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJAI KHOURY Owner 304-242-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2014-03-24 |