| NPI | 1609129139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUWATOYIN JIMMY AGBAOSI Provider/Owner 901-203-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2026-06-30 |