| NPI | 1801117262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD VICTOR SPERA Owner 256-265-1902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AL 21563) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2010-06-18 |