| NPI | 1417466780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREEM A HAMDY Md 276-340-1683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101241736) |
| Additional Taxonomies | 2086S0127X Surgery Trauma Surgery |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2019-02-01 |