| NPI | 1497906051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEDHAT FAHMY SIDAROS Owner/President 252-291-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 96-00733) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-06 |