NPI | 1871035188 |
---|---|
Entity Type | Organization |
Authorized Contact | SUMMIT BHANJI KUNDARIA Owner 704-593-6802 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 2016-01378) |
Enumeration Date | 2016-11-17 |
Last Update Date | 2016-11-17 |