| NPI | 1013908490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEMA NAGANEMI RAO President 772-299-4255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME0077699) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2020-08-22 |