| NPI | 1871631275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AILEEN GAYOSO President 901-569-0519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 15680) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2023-04-17 |