| NPI | 1881645828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE M WILSON Practice Manager 937-294-3694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2014-12-01 |