| NPI | 1487766812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIRAS KOURA President 606-487-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-12-27 |