| NPI | 1922189018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BALA K NANDIGAM President 941-625-6187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME0048592) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2023-03-16 |