| NPI | 1689126971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM ILE CEO 623-218-4171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AZ 42672) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2022-05-06 |