| NPI | 1407858087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARAKSHAN G WAHID Medical Doctor 225-381-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 11841R) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2020-08-22 |