| NPI | 1942255229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL V RIVERA Owner 513-569-6780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-08-20 |