| NPI | 1518217058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL WEINS Administrator 704-355-0648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |