| NPI | 1942616602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CHUPKA Authorized Official 757-340-3489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| 208100000X Physical Medicine & Rehabilitation | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2014-07-02 |