| NPI | 1104360221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARISH GOWDA Executive Director 386-774-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |