| NPI | 1255564175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARID FUAD MUAKKASSA President 330-344-6776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery Trauma Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2009-11-30 |