| NPI | 1114911609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNIL N LALLA Owner 239-561-2202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME061581) |
| Enumeration Date | 2005-09-11 |
| Last Update Date | 2009-08-19 |