| 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 |