| NPI | 1861593717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAN HIRE GOUDAR President 757-489-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101030509) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-11-20 |