NPI | 1083055545 |
---|---|
Entity Type | Organization |
Authorized Contact | BABAK EGHBALIEH President 855-946-6363 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
207QH0002X Family Medicine, Hospice and Palliative Medicine | |
207R00000X Internal Medicine | |
207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
Enumeration Date | 2013-07-12 |
Last Update Date | 2013-07-12 |