| NPI | 1669192472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR OSMAN President 855-700-8184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2025-12-05 |