| NPI | 1154608883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA MUSIC Director Provider Enrollment 877-892-9815 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2025-07-09 |