| NPI | 1306559265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSAM EDDIN CEO 386-238-9064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207RN0300X Internal Medicine, Nephrology | |
| 207RS0010X Internal Medicine, Sports Medicine | |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2023-01-05 |