| NPI | 1710128541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASUNA JAMI Md/Owner 304-720-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: WV 21072) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2009-10-09 |