| NPI | 1386343028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIAN J MOSHREF Owner 901-219-3557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 202K00000X |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2023-04-03 |