| NPI | 1932281979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIF I HANNA Medical Director 330-759-7672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: OH 128) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2011-05-25 |