| NPI | 1659467512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY J AUSTIN Office Manager 330-364-7551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35077256) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2010-01-13 |