| NPI | 1043526114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DHARMARAJ PATIL Member Manager 678-777-0719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: GA 054164) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 042386) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |