| NPI | 1578607305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL CHUKWUDI OKOLO Physician 267-419-8189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM2500X Clinic/Center Medical Specialty (Licence: PA MD426910) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2024-01-11 |