| NPI | 1679016745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMIR B PATEL Owner 513-770-4212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2017-05-24 |