| NPI | 1134587165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASSEM MORAD MOSTAFA ELSAWY Owner 469-499-6110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2022-06-02 |