| NPI | 1699173625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHAN D SIEV Owner 954-842-2577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: FL ME55397) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2014-12-08 |