| NPI | 1710907613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QAISAR J QAYYUM President 405-562-8715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OK 21912) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-06-22 |