NPI | 1891409561 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXANDER SINGH Authorized Official 844-625-0623 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2023-01-09 |
Last Update Date | 2024-02-15 |