| NPI | 1588166060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UWADIOGBU EJINDU Owner 704-817-8275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2023-01-09 |