| NPI | 1528073368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY KENDIS Owner 330-499-9944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2024-06-24 |