| NPI | 1154374007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRIE LARM Practice Administrator 216-844-1859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology |
| Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |