| NPI | 1821184995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBAN MOHAMED RAZACK President 330-724-1215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OH 035042671) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |