| NPI | 1710511621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALIA RAY Physician/Owner 513-515-1727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-02-29 |
| Last Update Date | 2023-11-13 |