| NPI | 1851442776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN JOYCE Credentialing Supervisor 331-216-1163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2024-11-08 |