| NPI | 1962693721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS J TISHKO President 614-575-8500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OH 35054319T) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2010-12-03 |