| NPI | 1265473664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH HOSTETLER Practice Manager 330-855-4709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: OH 35069434) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2011-02-25 |