| NPI | 1093833998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAJDI S KFOURY Owner And Member 606-309-1806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: KY 38881) |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2015-10-12 |