| NPI | 1811160401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONG S KAUH President/Owner 330-666-5713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: OH 35.057848) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2020-06-23 |