NPI | 1376970814 |
---|---|
Entity Type | Organization |
Authorized Contact | MOTI N RAMGOPAL Medical Director 772-464-9746 |
Organization Subpart ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
Enumeration Date | 2013-09-30 |
Last Update Date | 2020-09-02 |