| NPI | 1184789364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IYAD ALJABI Prestident 270-830-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY 27411) |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: KY 27410) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |