| NPI | 1033754569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENG ETHAN WANG Internist/Owner 614-653-7351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2020-09-25 |