| NPI | 1447459417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISSAM F YARED Owner 502-426-7761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 22334) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-11-19 |