| NPI | 1043512908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYUM MOHAMMADBHOY Owner/Provider 863-993-5056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: FL ME0019370) |
| Enumeration Date | 2010-11-29 |
| Last Update Date | 2010-11-29 |