| NPI | 1083809784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN J DEPERRO Physican 330-346-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH 34006535) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2023-12-20 |