NPI | 1295929891 |
---|---|
Entity Type | Organization |
Authorized Contact | RAJEEV PREM RAJANI Physician 239-774-0345 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME99073) |
Enumeration Date | 2007-08-28 |
Last Update Date | 2008-04-14 |