| NPI | 1952306532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ADAMS Credentialing Coordinator 614-573-5416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 34005937M) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2020-08-22 |