| NPI | 1780634279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MICA COO 440-895-5057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2021-03-26 |