| NPI | 1285960674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASIR AHMED AWAN Member 251-382-1878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: AL 16971) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2011-12-08 |