| NPI | 1437342714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SULAIMAN B HASAN Physician/Owner 304-720-5126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: WV WV18795) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2008-02-14 |