NPI | 1104087782 |
---|---|
Entity Type | Organization |
Authorized Contact | RAJEEV WINFRED Sole Proprietor/Owner 304-685-6218 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 19812) |
Enumeration Date | 2008-06-17 |
Last Update Date | 2008-06-17 |