| NPI | 1043958200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASIL KHALAF Owner 937-654-8484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207PE0005X Emergency Medicine, Undersea and Hyperbaric Medicine | |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-11-23 |