| NPI | 1720247869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GODSON I OGUCHI Owner 386-228-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: FL me89341) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2010-08-11 |