| NPI | 1811596331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC BAGNOLI Chair 330-493-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |