| NPI | 1780343889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UGOALA C BANKS Medical Director 513-505-6309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2023-07-10 |