| NPI | 1316010085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYANT PATEL Administrator 551-996-2310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2016-03-02 |