| NPI | 1861402745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHMOOD FATTOOH MOOSA Physician 419-472-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 35067199) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |