| NPI | 1245405786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNA TOBERTGE Office Manager 513-887-5734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35074089) |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2010-05-14 |