| NPI | 1891181194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAMION N OLIVIER Owner 386-263-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME100766) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-12-17 |