| NPI | 1801295696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIANOUSH SHEYKHOLESLAMI President 330-289-9891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| Additional Taxonomies | 207YS0012X |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2014-08-18 |