| NPI | 1336962059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENAS KASEM Billing 346-368-4845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2024-11-01 |