| NPI | 1407809320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA GORKAVCHUK Interim Practice Manager 216-267-5139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-01-26 |