| NPI | 1992792816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL L. SCHMULEVICH Owner 740-266-9169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35062485S) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WV 14695) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD040586E) | |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2008-03-31 |