NPI | 1013151604 |
---|---|
Entity Type | Organization |
Authorized Contact | MYRON B LICHT Owner 602-300-2793 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
Enumeration Date | 2009-04-27 |
Last Update Date | 2009-04-27 |