| NPI | 1801919816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHA AGARWAL Vicepresident 937-236-2155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine Adolescent Medicine (Licence: OH 049806) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2011-05-17 |