| NPI | 1710124110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETAKI B DAVE Owner 940-387-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TX J1645) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |