| NPI | 1053408203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD SHAFI Owner/President 414-287-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2012-05-22 |