| NPI | 1861674392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARDO CESAR MENDOZA Owner/Physician 419-843-2776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35032912) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2007-12-17 |