| NPI | 1124057989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GANESH SHENOY Owner 239-303-2820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME84882) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2021-11-02 |