| NPI | 1205027646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB OOMMEN Owner 480-907-7786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 37316) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2008-10-09 |