| NPI | 1790014017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFEANYI ISAIAH Owner 954-438-8085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL ME98154) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2010-07-26 |