| NPI | 1033877675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHINTHAKA BULATHSINGHALA Provider 210-600-5864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2022-02-07 |