| NPI | 1659492148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BISHNU PRAKASH VERMA President 386-860-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME0064616) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-08-09 |