| NPI | 1003302845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIVAKUMAR RAMAN Owner 239-245-8223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME100391) |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-07-05 |