| NPI | 1801924733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES JOEL BURSTIN President 424-230-5377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CA A20389) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2016-03-02 |