| NPI | 1750371100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARDO DANIEL MARTINEZ President 419-251-3512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OH 35-03-9917M) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2008-11-10 |