| NPI | 1073742524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA HANCOCK Credentialing COO Rdinator 614-546-4621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2010-08-09 |