| NPI | 1629087689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES IRA FIDEL HOLTZ Owner 513-681-6667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: OH 53252) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.034849) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2024-05-10 |