| NPI | 1255740619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIVA SHTULL Physician 216-431-0927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1800X Clinic/Center, Corporate Health (Licence: OH 051031) |
| Enumeration Date | 2014-08-10 |
| Last Update Date | 2014-08-10 |