| NPI | 1427003748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID RUMISEK Owner 502-584-2872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY tp442) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-08-22 |