| NPI | 1518299833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAO S MIKKILINENI Owner/Associate 201-918-2239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2010-02-12 |