| NPI | 1124247127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAFA MOHAMED OSMAN Sole Proprietor 304-724-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 0101241056) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2010-03-09 |