| NPI | 1245907252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIRENKUMAR ITALIA Md 800-557-8950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207QS1201X Family Medicine Sleep Medicine | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2022-12-12 |