| NPI | 1790450450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN GUY-YOMA SOUFFRANT Md 440-465-9363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2023-06-13 |