NPI | 1104446467 |
---|---|
Entity Type | Organization |
Authorized Contact | SURESH RAJAMANICKAM Direct Owner 561-767-0721 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist |
Additional Taxonomies | 261QR1100X Clinic/Center, Research |
Enumeration Date | 2020-04-16 |
Last Update Date | 2023-08-28 |