| NPI | 1154372241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBA ISAAC Md 386-410-4981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME89116) |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2017-08-29 |