| NPI | 1174571970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL SHAHID President 937-938-6484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OH 0715AS) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2022-06-06 |