| NPI | 1790997609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTO R DIAZ Medical Doctor 865-339-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA0310550) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2013-01-23 |