| NPI | 1467743336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SWAPNA PALLERLA Partner 937-286-6376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-04-27 |