| NPI | 1457554842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN ELLEN FLICKINGER Authorized Official 330-454-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease |
| Additional Taxonomies | 174400000X Specialist (Licence: OH 34071905) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2024-12-13 |