| NPI | 1881964930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE IRWIN Billing Administrator 330-399-7215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 2068614) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-01-06 |