| NPI | 1033735931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAURAV DATTA Owner 414-336-8677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2023-01-13 |