| NPI | 1134128515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURESH MADHAVJI DASANI President 419-726-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine (Licence: OH 35054340) |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2010-09-01 |