| NPI | 1669019394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OGHENERUKEVWE ODIETE Md Owner 770-400-9588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2020-02-27 |