| NPI | 1942658471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY GRECO Sr. Enrollment Manager 223-341-8516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2025-11-21 |