| NPI | 1558432856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER WILLIAM LIDMAN President 757-461-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NONE) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2014-12-03 |