| NPI | 1639394331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER OKWUASABA Owner Operator 918-615-3750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2010-07-14 |