| NPI | 1336524545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERBERT PE OYE President 304-255-3601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: WV WV1595) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |