NPI | 1740473404 |
---|---|
Entity Type | Organization |
Authorized Contact | FARAMARZ FRED HIDAJI President 901-754-3937 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: TN MD0000034186) |
Enumeration Date | 2007-08-24 |
Last Update Date | 2007-08-24 |