| NPI | 1689804379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND GRANT RUSSELL M.D. 937-434-4611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35-036352) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2009-07-16 |