| NPI | 1366658833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAZEN KHUSAYEM President 919-550-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC 9900898) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2013-01-22 |