| NPI | 1659419653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD BALI Physician 304-767-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WV 21044) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: WV 21044) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-12-12 |