| NPI | 1922480425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONATO BORRILLO Provider/ Owner 419-466-5512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: OH 35062153) |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2019-06-24 |