| NPI | 1679733935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HISHAM N EL-TAYEB Owner/Physician 765-284-0493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A52244) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-06-11 |