| NPI | 1437332087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MARK HARTMAN Sole Member 330-602-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OH 35084120) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |