NPI | 1760361554 |
---|---|
Entity Type | Organization |
Authorized Contact | ELI KNOLL President 551-206-0179 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2025-08-27 |
Last Update Date | 2025-09-08 |