| NPI | 1346370624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLIN MOULD Credentialing Specialist 330-259-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2026-04-21 |