| NPI | 1477985430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMAS VYBIRAL Owner 336-526-7997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC C201316100444) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC C201316100444) |
| 207R00000X Internal Medicine (Licence: NC C201316100444) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC C201316100444) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC C201316100444) | |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |