| NPI | 1407039548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARAH SALAHUDDIN Owner 262-842-0420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WI 45853020) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-12 |