NPI | 1164519070 |
---|---|
Entity Type | Organization |
Authorized Contact | MADHUR MITTAL President 910-353-0581 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy |
207R00000X Internal Medicine | |
207RG0100X Internal Medicine, Gastroenterology | |
208000000X Pediatrics | |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
2080P0008X Pediatrics, Neurodevelopmental Disabilities | |
2080P0202X Pediatrics, Pediatric Cardiology | |
Enumeration Date | 2006-10-10 |
Last Update Date | 2024-09-12 |