| NPI | 1821198128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BENNETT MILLER Authorized Official Of Grp. 330-452-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |