| NPI | 1407128994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKSHMANRAO BHANDARU President 419-474-5401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2017-03-23 |