| NPI | 1033070842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WEBB Credentialing Specialist 346-771-7384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2025-11-20 |
| Last Update Date | 2026-05-21 |