| NPI | 1316318371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL KOCH Owner 216-692-7875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35054940) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2015-10-16 |