| NPI | 1134367311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIANDOKHT PARTOVI Owner/President 662-449-4308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 18836) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2009-07-08 |