| NPI | 1336145960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE VRENKO Billing Manager 216-470-6292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207RR0500X Internal Medicine, Rheumatology | |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2008-07-21 |