| NPI | 1750392882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVESHA KALEEM President 386-312-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME79639) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |