| NPI | 1275773301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL NORMAN Chief Financial Officer (CFO) 174-045-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2023-10-03 |