| NPI | 1841808227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMMY BLIVAISS Vice President 888-889-8722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Additional Taxonomies | 2083C0008X Preventive Medicine, Clinical Informatics Specialist |
| 246Y00000X Spec/Tech, Health Info | |
| 261QH0100X Clinic/Center, Health Services | |
| 246Z00000X Specialist/Technologist, Other | |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2021-05-25 |