| NPI | 1013102821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAGHU PISHKA UPENDER President 931-461-5946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: TN 39248) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2007-09-14 |