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 |