| NPI | 1841441284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHISHUKA MAHOLTRA Physician/Owner 330-453-9085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OH 35079074M) |
| Enumeration Date | 2008-10-03 |
| Last Update Date | 2008-10-03 |