| NPI | 1962419804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD P BALTZ President 2811-440-5224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology |
| Additional Taxonomies | 207RH0000X Internal Medicine, Hematology |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2010-03-01 |