| NPI | 1629269493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SKIPPON MIRANDO Medical Doctor 440-998-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OH 35-060349M) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2015-06-29 |