| NPI | 1205986247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIZAR Y DABOUL Owner President 419-866-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35072198) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-11-14 |