| NPI | 1396927109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA SOOY Biller 440-960-6430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: OH 35035173) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2014-11-04 |