| NPI | 1568631950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MOHAMMAD REZAIAN Supervisor 304-262-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: WV 16112) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2008-02-29 |