| NPI | 1821059650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSI BRAZ GARUBA CEO 704-844-8971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2000-01378) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 25646) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-06-08 |