| NPI | 1962722496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIBAJI SHOME Owner 336-310-4712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 24694) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2010-06-07 |