| NPI | 1124792718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFF LAWRENCE Assistant Secretary 800-967-2289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 208M00000X Hospitalist | |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2023-06-09 |