| NPI | 1356001879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENDER RAGHIB President 701-478-4722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2021-12-23 |