NPI | 1497146716 |
---|---|
Entity Type | Organization |
Authorized Contact | KORAVANGALA V SUNDARESH Owner 727-457-5522 |
Organization Subpart ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME0042812) |
Enumeration Date | 2015-02-09 |
Last Update Date | 2015-02-09 |