| NPI | 1023363256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MESFIN SEIFU Owner 740-387-4037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.090375) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-08-24 |