| NPI | 1104429208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM A MYERS Adminstative Assistant 330-360-0355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2021-05-28 |