| NPI | 1649650961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUSIF ALHALLAQ Owner 330-259-1145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35094254) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2020-07-24 |