| NPI | 1518105519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD REZA IRAVANI Owner/Physician Assistant 440-506-3058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50001923) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2009-01-29 |