| NPI | 1386653632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTIADIS LEON Director 325-655-7969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-06-10 |