| NPI | 1659504785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS RALOFSKY CEO/President 937-499-8205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2017-03-20 |