| NPI | 1780767772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TILLMAN CEO 681-342-1000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV WV107) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2017-11-01 |