| NPI | 1558470591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIEU DINH NGUYEN Physician 304-325-1905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |