| NPI | 1730567579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP J. FAGAN President 747-283-1809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208M00000X Hospitalist | |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2021-09-02 |