| NPI | 1518224906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW M KEUM CEO 440-269-4990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: OH 35078037) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |