| NPI | 1447327689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LEBLANC Practice Administrator 216-687-1492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |