| NPI | 1538485099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYNET T FEBLES President 209-233-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A109536) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A109536) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2012-05-22 |