| NPI | 1336529494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN T HACKBARTH Secretary 270-417-4813 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine Medical Oncology |
| Additional Taxonomies | 207RH0003X Internal Medicine Hematology & Oncology |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |