| NPI | 1134627417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADAF SALEEM President 906-360-4755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P2515) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N9080) |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2022-08-02 |