| NPI | 1124287768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAN A NATHAN President 991-945-8717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A31010) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2018-08-17 |