| NPI | 1114910601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE VARGHESE President Of Corporation 937-322-7364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2020-08-22 |