| NPI | 1194778373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMAL M TAHA Owner 937-229-8242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2023-01-12 |