| NPI | 1538368949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARZAD KAMRANI President 414-645-7828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WI 21446) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2007-07-16 |