| NPI | 1083874481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD YOUSEF SAMARA Member/Owner 414-247-9005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2023-03-07 |