| NPI | 1275635351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER L VAZQUEZ President 330-438-7430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080N0001X Pediatrics Neonatal-Perinatal Medicine |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-08-22 |