| NPI | 1386724029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GANPAT GOPALJI THAKKER Member/Manager 304-345-5460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WV 12498) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-04-17 |