| NPI | 1073857876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJIT B DIVGI Owner 262-781-6521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: WI 21657) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: WI 21657) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2012-11-16 |