| NPI | 1790154102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISHNA KANTH BOBBILI Owner 704-877-4690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: TX N5578) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2018-01-03 |