| NPI | 1730490319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY MCELROY Controller 216-383-6756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-06-29 |