| NPI | 1679925937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIRINDRA RAVAL Owner 501-766-0539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: GA 078222) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2018-07-26 |