| NPI | 1477838472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARIQ SULTAN Owner/Medical Director 513-659-4197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OH 35072023) |
| Enumeration Date | 2011-10-21 |
| Last Update Date | 2012-01-25 |