| NPI | 1598060733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHIATH MIKDADI Managing Member 225-270-2733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA 11934R) |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2017-01-06 |