| NPI | 1497224174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FOLUSO FAKOREDE President 888-757-0838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2018-11-25 |
| Last Update Date | 2018-11-25 |