| NPI | 1912287624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE KHURI Owner 216-521-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2016-09-20 |