NPI | 1447008602 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY J MURRAY Owner 262-498-2190 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0102X Surgery, Surgical Critical Care |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
2083B0002X Preventive Medicine, Obesity Medicine | |
246QL0900X Spec/Tech, Pathology, Laboratory Management | |
Enumeration Date | 2024-05-10 |
Last Update Date | 2024-07-19 |