| NPI | 1528091584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LAM Owner 843-932-6875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 11269) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2007-10-17 |