| NPI | 1285780049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARDESHIR TAMBOLI Owner 330-343-1205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: OH 35045162) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 35063405) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2023-02-21 |