NPI | 1649049958 |
---|---|
Entity Type | Organization |
Authorized Contact | NICHOLAS KAKNES Medical Director 786-351-8388 |
Organization Subpart ? | No |
Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
Enumeration Date | 2023-12-28 |
Last Update Date | 2024-01-08 |