| NPI | 1881640100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL I OBI Medical Director 731-772-3442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2010-01-05 |