NPI | 1528809373 |
---|---|
Entity Type | Organization |
Authorized Contact | VIRAL ACHARYA Authorized Official 904-902-0091 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
207RI0200X Internal Medicine, Infectious Disease | |
Enumeration Date | 2024-06-05 |
Last Update Date | 2024-11-30 |