| NPI | 1639139827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORALEE HAYCOCK Business Office Manager 424-238-1792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2014-02-04 |