| NPI | 1215933239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK KETHEESWARAN Attending Physician 910-485-7003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: NC 9701004) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2010-03-05 |