| NPI | 1013954395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN FLANAGAN Practice Administrator 216-844-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-08-22 |