| NPI | 1073383105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMAN DHILLON Employee 097-148-7339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QH0100X Clinic/Center, Health Services | |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-17 |