| NPI | 1083860779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD N AL-SHROOF Owner 478-918-0770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |