| NPI | 1023413945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZOE REBECCA MANCINI Wife/Office Manager 1313-418-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI L116354) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |