| NPI | 1205989159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LLOYD Partner 260-483-6448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |