| NPI | 1275614430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILDRED ENID ROMEU Office Manager 910-323-1671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 174400000X Specialist |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-09-30 |