| NPI | 1629338538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADER M HADDAD Mbr 419-508-0864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 41193) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: AZ 41192) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |