| NPI | 1053793422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR O BADGER Physician 216-346-5588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 43063) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-10-01 |