| NPI | 1659965457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CILONE Authorized Official 330-565-1097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-04-28 |