| NPI | 1104186691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANISH UPADHYAY President 916-786-6727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CA C52329) |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2014-11-06 |