| NPI | 1891751657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINSTON HO President 440-269-7483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 35-052285D) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-06-5285H) |
| 207R00000X Internal Medicine (Licence: OH 34-003413F) | |
| 2080A0000X Pediatrics, Adolescent Medicine (Licence: 35-06-1390M) | |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2010-06-10 |