| NPI | 1407117948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH LERRO Owner 252-991-5261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NC 200300489) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2015-09-09 |