| NPI | 1184943284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY MCELROY Controller 216-383-6756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207RN0300X Internal Medicine, Nephrology | |
| 207RR0500X Internal Medicine, Rheumatology | |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2010-05-28 |