| NPI | 1225504343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNIL DANIEL Authorized Representative 866-638-8263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine Obesity Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2018-10-16 |