| NPI | 1659540870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAUTAMI AGASTYA President 209-833-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CA A85126) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA C51385) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2013-02-13 |