| NPI | 1124256623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAO S MIKKILINENI Authorized Official 973-202-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NJ MA51744) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ MA51744) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2020-04-22 |