NPI | 1639905292 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRY ODAZIE Credentialing Manager 954-496-2599 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
Enumeration Date | 2024-09-10 |
Last Update Date | 2024-10-01 |