| NPI | 1326253238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN RAYMOND BLACK Medical Doctor 330-753-5863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.036808) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2024-03-12 |