NPI | 1215194717 |
---|---|
Entity Type | Organization |
Authorized Contact | TARA KOWALSKI Credentialing Manager 888-220-6432 |
Organization Subpart ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: IL 00009202) |
Enumeration Date | 2008-05-21 |
Last Update Date | 2013-12-13 |