| NPI | 1407918279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE BUDDHDEV Office Manager 513-317-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35038994) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: KY 17701) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2012-04-19 |