| NPI | 1629215819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAREQ M EL-QOUSY President 209-658-9118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-09 |