| NPI | 1144390345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER S KUBALA President Md 513-791-1201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 350728718) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35057045) |
| 207Q00000X Family Medicine (Licence: OH 35067638) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2023-01-11 |