| NPI | 1447036108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEBAYO FASANYA CEO 479-208-4601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2025-04-17 |