| NPI | 1508153289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAJ AHMAD RAHID President 937-298-5536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2012-01-09 |