| NPI | 1124300876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFF LAWRENCE Authorized Official 800-967-2289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 208M00000X Hospitalist |
| 207P00000X Emergency Medicine | |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2019-01-10 |