| NPI | 1639114408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SAN ROMAN Credentialing Coordinator 561-366-4104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2010-01-21 |