| NPI | 1316225618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYKOLA O PRYKHODKO Owner/President 419-756-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35.097400) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-12-13 |