| NPI | 1588109599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN S CITRIN Owner / President 251-333-3333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 18816) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2018-03-14 |