| NPI | 1558500777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAGI S. IBRAHIM Owner/Physician 762-453-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A75003) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2017-02-07 |