| NPI | 1770623340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE T BRODERICK President 937-832-2425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-10-12 |