| NPI | 1770038549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHARAT LATTHE Owner 346-305-8313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2025-04-08 |