| NPI | 1871578229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY RENE MARTIN President 330-375-3588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2020-08-22 |