| NPI | 1407493166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANEESH ASHLEY BANSAL CEO 424-349-7108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |