| NPI | 1396852984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAIR A BARGHOUTHI Owner 304-254-0892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WV 16708) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |