| NPI | 1114124799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MUSILLI CFO 304-400-4545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 1828) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2013-08-29 |