| NPI | 1336319276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAIF TAWAKOL Owner 209-723-2037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA C04093) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-03-10 |