| NPI | 1427441666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL BERG Owner 671-649-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GU 13-201500338-001) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |