| NPI | 1023035862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOLLAGUNAT S CHANDRASEKHAR President 863-294-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME64020) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2017-01-30 |