| NPI | 1891380432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLAS SHAMMAS Owner 563-320-0263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-03-05 |