| NPI | 1114325321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR R SANTILLAN Owner 937-556-4324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: OH 35075548) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35075548) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2023-03-23 |