| NPI | 1548563406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFTAB AHMAD Manager Credentialing 725-255-2336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 44115) |
| Enumeration Date | 2010-12-15 |
| Last Update Date | 2024-02-29 |