NPI | 1255166856 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA REESE Pe And Credentialing Officer 330-493-4443 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
Enumeration Date | 2024-09-04 |
Last Update Date | 2024-09-04 |