| NPI | 1992170658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHAN VAN JAARSVELD Owner 615-834-9781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 52609) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 52609) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-07 |