| NPI | 1619345436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH MICHAEL CINCINNATI Nurse Practitioner 610-927-9815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP007277) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |