| NPI | 1588919716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAREQ A ALI President Of Corporation 2093-339-3797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A51048) |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |