| NPI | 1497462139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY J. IDREES Clinical Program Director 216-688-9320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology |
| Additional Taxonomies | 207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RH0003X Internal Medicine Hematology & Oncology | |
| 2084A0401X Psychiatry & Neurology Addiction Medicine | |
| 2084E0001X | |
| 208D00000X General Practice | |
| 261QX0200X Clinic/Center Oncology | |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-11-02 |