| NPI | 1609175819 |
|---|---|
| Other Name | BRUCE MIRVIS, MD |
| Entity Type | Organization |
| Authorized Contact | BRUCE ROBERT MIRVIS Owner 614-437-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35039260) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2011-07-07 |