| NPI | 1871640201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL B POLLOCK Owner 502-810-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: KY 0543246) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2010-10-26 |