| NPI | 1104560580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC JOSEPH BAGNOLI Chairman 330-493-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2024-02-18 |