| NPI | 1487832473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUTHULAKSMI RAMESH Dr. 509-627-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00040452) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: WA MD00040452) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2010-08-05 |