NPI | 1104222371 |
---|---|
Entity Type | Organization |
Authorized Contact | ABHIJIT G. DESHPANDE Owner 509-945-9977 |
Organization Subpart ? | No |
Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine |
207R00000X Internal Medicine | |
Enumeration Date | 2014-11-14 |
Last Update Date | 2021-09-10 |