NPI | 1487395588 |
---|---|
Entity Type | Organization |
Authorized Contact | ARUL KARTHIK BALARAMALINGAM Credentialing Manager 909-398-1550 |
Organization Subpart ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
207R00000X Internal Medicine | |
Enumeration Date | 2022-04-05 |
Last Update Date | 2022-04-05 |