| NPI | 1770140725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL K ROSEN Owner 877-331-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |