| NPI | 1952569816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAKESH WAGHRAY Officer 414-840-0198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 45393) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 39828) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2015-07-24 |