| NPI | 1760701650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR LANTSBERG Owner 216-561-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35042712I) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: OH 35042712I) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2010-06-02 |