| NPI | 1497998975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT A SAHASRABUDHE Owner 480-889-1838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: AZ 36788) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2021-01-14 |