NPI | 1396375069 |
---|---|
Entity Type | Organization |
Authorized Contact | KSHAMA KESHAVA BHAT President 855-942-5742 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QB0002X Family Medicine Obesity Medicine |
Enumeration Date | 2020-01-22 |
Last Update Date | 2021-03-23 |