| NPI | 1811124308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYRIL V.K. BETHALA Owner 228-863-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MS 16691) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2009-06-11 |