NPI | 1356700124 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL THOMAS ANGOTTI Member 304-933-3332 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 14700) |
Enumeration Date | 2016-02-22 |
Last Update Date | 2016-02-22 |