| NPI | 1609216605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED DAHSHAN Physician/Owner 304-400-4626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: WV 24418) |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2013-11-26 |