NPI | 1518156017 |
---|---|
Entity Type | Organization |
Authorized Contact | ARCHANA K SHAH Owner 321-422-3660 |
Organization Subpart ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL ME92663) |
Enumeration Date | 2007-10-20 |
Last Update Date | 2024-10-16 |