| NPI | 1730969122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIJOYDEEP TANJORE VENKOBA RAO Authorized Official 865-310-2504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2024-02-16 |