| NPI | 1710155296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJEESH PUNNAKKATTU Director 520-836-1161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ 31787) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 31787) |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: AZ 31787) | |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2008-02-18 |