| NPI | 1154374015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BYRNE Practice Administrator 216-844-8992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| 207NP0225X Dermatology, Pediatric Dermatology | |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2008-08-13 |