| NPI | 1629044839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MTANIUS A SULTANI Authorized Official 662-627-7163 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2020-07-21 |