| NPI | 1427131382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARSHA TANKALA Owner/President 302-678-0950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: DE C1-0005962) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2018-06-21 |