| NPI | 1043415656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IKE U ENI Owner Physician 936-321-1946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K6843) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2022-07-20 |