| NPI | 1043598337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAEL E EID Owner 605-221-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2013-02-21 |