| NPI | 1780078477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA KNICKERBOCKER Owner 999-999-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2026-02-03 |