| NPI | 1275520348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI P CHRYSSOS Office Manager 330-489-1427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2020-08-22 |