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 |