| NPI | 1205015559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE EPLING Business Manager 330-375-3419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35049293) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2007-11-02 |