| NPI | 1790933612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMATHUL AZEEM SHAKIR Md/Business Owner 405-495-3586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 12648) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |