| NPI | 1366531287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED W HUSARI President / Medical Director 304-853-2461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WV wv17283) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2010-07-28 |