| NPI | 1134124340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE M PAULIK Practice Administrator 330-452-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35047519) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2008-04-22 |