| NPI | 1669797734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA KOWALSKI Credentialing Manager 888-220-6432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RR0500X Internal Medicine, Rheumatology | |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2013-12-13 |