| NPI | 1659524635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED N HAQ Owner 304-933-3864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WV 19842) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2011-08-12 |