| NPI | 1578824033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY Y KO CFO 937-558-3208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology Reproductive Endocrinology |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2017-04-05 |