| NPI | 1891152104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINISH K GUPTA Provider 931-393-7831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN 24987) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2024-06-03 |