| NPI | 1245263698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANFORD J. RAUTBORT Physician 258-737-8261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4302027320) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2010-09-01 |