| NPI | 1689614109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C PACKO President 330-493-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2016-06-25 |