| NPI | 1396782041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL J ABRAHAM Sole Proprietor 870-932-5043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AR E3042) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-08-22 |