| NPI | 1063863157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMRIK WALIA Administrator 205-567-3833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-06-29 |