NPI | 1417258278 |
---|---|
Entity Type | Organization |
Authorized Contact | OKECHUKWU C IFEDIORA Physician/Owner 318-325-5435 |
Organization Subpart ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine Nephrology (Licence: LA 09448R) |
Enumeration Date | 2010-11-10 |
Last Update Date | 2010-11-10 |