| NPI | 1023061207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK MARK BERNSTEIN Owner 937-572-7648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2019-03-15 |