NPI | 1730470022 |
---|---|
Entity Type | Organization |
Authorized Contact | ANITHA CHANNABASAVAIAH President 209-458-3898 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A83221) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A83221) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A83221) | |
Enumeration Date | 2011-04-21 |
Last Update Date | 2011-04-21 |