| NPI | 1639322761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GRAHAM CARLOS President 877-323-4449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01062620A) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |