| NPI | 1164662805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA MUSIC Director, Provider Enrollment 877-892-9815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207UN0901X Nuclear Medicine, Nuclear Cardiology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 207RA0201X Internal Medicine, Allergy & Immunology | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2024-03-05 |