| NPI | 1023311990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY B. SORG Sole Proprietor 937-885-0464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35-05-3064) |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2011-03-08 |