| 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 |