| NPI | 1356712848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOLUSO A FAKOREDE Physician 888-757-0838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2020-04-13 |