| NPI | 1770675423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT G SHAH Owner 704-503-0015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |