| NPI | 1285398834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE DUKE CEO 747-230-7297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-10-28 |
| Last Update Date | 2024-04-05 |