| NPI | 1851730212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY ADAM WALDMAN Md 424-239-1499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CA A1235635) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2022-06-03 |