| NPI | 1578646725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAWAN K GUPTA Owner 814-943-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD066182L) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |