| NPI | 1740386424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID T RYU Medical Director 937-592-3277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 311) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2008-07-22 |