| NPI | 1376422303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED BAIOU Director / President 267-070-4577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 202K00000X Phlebology |
| Enumeration Date | 2025-09-02 |
| Last Update Date | 2025-09-02 |