| NPI | 1649490731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAFIQUE AHMED Doctor 304-792-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: WV 20171) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2013-03-26 |