| NPI | 1245294065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE J MIKOS Owner Md 502-895-4919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2020-08-22 |