| NPI | 1295942803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD A JAN Owner 937-275-2468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OH 35035556) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2008-05-15 |