| NPI | 1720003403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISHNA PRIYA RAJU Owner 239-368-6646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME90923) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-11-28 |