NPI | 1790272524 |
---|---|
Entity Type | Organization |
Authorized Contact | MOHAMED SHAMIYA President 614-629-7076 |
Organization Subpart ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NV NV20181237031) |
374700000X Technician | |
Enumeration Date | 2018-04-17 |
Last Update Date | 2024-10-11 |