| NPI | 1366270670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL RAJANI President 414-581-0582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2024-08-23 |