| NPI | 1982797072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAUTAM DEV Medical Doctor President 910-678-8611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 95-01525) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 95-01525) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-01-14 |