| NPI | 1386734051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NESTOR F DANS Owner 304-352-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: WV 20189) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2009-06-18 |