| NPI | 1982896999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUDOLPH J MOREIRA President Of Corporation 513-281-1252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 35035368) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: OH 35035368) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2007-08-14 |