| NPI | 1255378675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJAY CHAKU Owner 989-791-2512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI VC046248) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-09-28 |