| NPI | 1407378409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO A MATEO Owner 330-337-0177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35-071617) |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2022-07-21 |