| NPI | 1740220482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECA LAGUNA Credentialing Manager 442-600-5128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207R00000X Internal Medicine | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2024-04-11 |