NPI | 1114104346 |
---|---|
Doing Business As | DR. AMBALAVANAN M.D. |
Entity Type | Organization |
Authorized Contact | KIMBERLY RALSTON System Director 419-996-5119 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH OH 35090880) |
Enumeration Date | 2008-01-30 |
Last Update Date | 2022-01-13 |