| NPI | 1609279918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASSAM ALTAJAR Md 863-491-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME83500) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2018-03-07 |