| NPI | 1609378520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMER IQBAL Owner 256-258-9278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: AL DO.1670) |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2023-01-02 |