| NPI | 1174374953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID VISCO Owner 267-784-5459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-03-29 |