NPI | 1659710564 |
---|---|
Entity Type | Organization |
Authorized Contact | DERIK K KING Llp Managing Partner 866-916-5259 |
Organization Subpart ? | No |
Primary Taxonomy | 208M00000X Hospitalist |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
363L00000X Nurse Practitioner | |
363LC0200X Nurse Practitioner, Critical Care Medicine | |
Enumeration Date | 2013-06-25 |
Last Update Date | 2017-09-07 |