| NPI | 1376779702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L LONGVILLE Chief Accounting Officer And Contro 216-444-2296 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care |
| 2086S0127X Surgery, Trauma Surgery | |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2022-02-22 |