| NPI | 1871021832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERINCHERY NARAYAN Chief Medical Officer 844-443-8352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME76357) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2022-07-21 |