An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Cardiovascular Disease |
207RC0000X | 11 | Physician/Internal Medicine | |
Neurological Surgery |
207T00000X | 02 | Physician/General Surgery | |
Thoracic Surgery (Cardiothoracic Vascular Surgery) |
208G00000X | 02 | Physician/General Surgery |
| NPI Number | 1427355619 |
| LBN Legal business name | FACULTY PHYSICIANS AND SURGEONS OF LLUSM |
| Authorized official | LISA WOLTER - (PROVIDER ENROLLMENT REPRESENTATIVE) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 02/24/2011 |
| Last updated | 02/24/2011 - About 15 years ago |
| Identifiers | n/a |
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