| NPI | 1013233600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: OH 1013233600) |
| Additional Taxonomies | 281P00000X Chronic Disease Hospital (Licence: OH 1013233600) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2016-06-14 |