| NPI | 1346567310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALED FOUAD ELRAIE Owner 704-461-0161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 200101332) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2010-06-04 |