| NPI | 1730373440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZONGLI CHANG Medical Director 614-218-5764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MI 4301087633) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2009-12-31 |