NPI | 1306020110 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL ROY SHOOK General Partner 561-883-6571 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME50883) |
Enumeration Date | 2007-12-28 |
Last Update Date | 2008-02-01 |