| NPI | 1518692243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REANNA RAMKHELAWAN Credentialing Specialist 305-604-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2022-07-18 |
| Last Update Date | 2023-04-19 |