NPI | 1598065732 |
---|---|
Entity Type | Organization |
Authorized Contact | IHEONU USOUWA ORIAKU President/ Medical Director 772-643-4208 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME79198) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME79198) |
207Q00000X Family Medicine (Licence: FL ME79198) | |
Enumeration Date | 2010-10-21 |
Last Update Date | 2010-11-22 |