| NPI | 1417030982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DERISO Director/ Owner 419-609-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2012-04-23 |