| NPI | 1043345259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATHA SUBRAMANIAN Member 907-569-2627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: AK AA2285) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2023-03-07 |