| NPI | 1508048943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDELL K WOLF Owner 513-313-4060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35051891) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |