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 |