| NPI | 1225559990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATIMA KHAN Administrator 501-766-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2024-08-21 |