| NPI | 1033530092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD R HANSEN Partner 704-798-7251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202K00000X Phlebology |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2014-06-17 |