NPI | 1114205457 |
---|---|
Entity Type | Organization |
Authorized Contact | AUGUSTINE U OBI Owner 704-664-2910 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NC 9400602) |
Enumeration Date | 2011-08-03 |
Last Update Date | 2012-09-26 |