| NPI | 1942344387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DEROSA Proprietor 330-702-1310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OH 34008028D) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |