| NPI | 1205119799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RASTISLAV KUCINSKY Owner 541-884-6233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: OR MD28454) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD28454) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-11-22 |