| NPI | 1326480302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK F MORAN Owner 216-374-4184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: FL ME100383) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME100383) |
| Enumeration Date | 2013-07-19 |
| Last Update Date | 2013-07-19 |