| NPI | 1629371497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKATAPPA RANGARAJ Authorized Official 513-218-3468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: GA 058633) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2013-07-03 |