| NPI | 1396838199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AWADHESH K GUPTA Owner 251-970-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-07-01 |