| NPI | 1164586715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMMAL SURESH Md 419-631-7183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35056352) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |