| NPI | 1174561815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HATIM AHMED MAHMOUD President 434-791-4070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: VA 0101234987) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2007-07-24 |