| NPI | 1942374780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAUKA PATEL Adm 508-679-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MA 2583) |
| Additional Taxonomies | 207RI0001X Internal Medicine, Clinical & Laboratory Immunology (Licence: MA 2583) |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2015-05-01 |