| NPI | 1043551690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WING YI LIU Mgr 386-424-8440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME97585) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2018-10-19 |