| NPI | 1407184179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID M BURKONS Owner 216-297-2061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OH 35040676) |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2010-01-14 |