| NPI | 1528247657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT E. PERKOWSKI Member 330-834-9761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34-00-6173) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |