| NPI | 1891489449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JABULANI SIDILE Co Owner 513-633-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2024-01-18 |