| NPI | 1417970922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSTAFA S GARBADAWALA Owner 419-747-1601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35073495) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2010-04-26 |