| NPI | 1538349071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIL AHMED Owner 304-624-4654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: WV 21160) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2010-11-24 |