| NPI | 1962693457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ALLEN MICHAELS Partner 330-629-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery Vascular Surgery (Licence: OH 35-05-5300-M) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2008-11-21 |