| NPI | 1639956840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHBOOB AHMED REHAN Authorized Official 940-500-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2025-06-02 |