| NPI | 1063577765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW H GABRIEL President Of Corporation 937-278-8244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OH 34003827) |
| Enumeration Date | 2006-12-25 |
| Last Update Date | 2014-08-19 |