| NPI | 1730592353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A ADENIYI President 304-842-3993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: WV 21293) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2024-03-25 |