| NPI | 1063596419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEET RAM MEHTA President 330-759-8545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: OH 35036259) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2010-04-28 |