| NPI | 1770757262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MICHAEL CAYAVEC President 330-652-1776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: OH 34005000C) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: OH 34005000C) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |