| NPI | 1568855104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY Y KO CFO 937-558-3208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 170300000X Genetic Counselor, MS |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-24 |