| NPI | 1700168002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL D HAIABACH Administrative Assistant 937-558-3222 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |