| NPI | 1114104502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOICHI CHARLEY IMAMURA President 939-323-8804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35070875) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2011-09-19 |