| NPI | 1558707018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRIDHAR RAJAMANI Manager 928-317-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C53701) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C50351) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2013-05-10 |