| NPI | 1144572553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKATA EMANI Owner 209-465-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A80313) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2013-02-21 |