| NPI | 1366641508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD R WATKINS Owner 330-344-6643 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 35087510) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |