| NPI | 1164754412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKATARAMAN SAMBASIVAN President 509-547-2949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00030872) |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2010-02-10 |