| NPI | 1831615160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIRENKUMAR D ITALIA President/Physician 704-512-9921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2013-01926) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2017-08-18 |