| NPI | 1336151943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMAL MOULANA Owner 270-769-9881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: KY 31778) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2010-09-16 |