| NPI | 1750302709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASHIF ABDUL-RAHMAN Md 765-284-0493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 208VP0000X |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2013-08-01 |