| NPI | 1538112487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAY PRAKASH MUTTREJA President 407-650-0018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0073769) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |