| NPI | 1821370321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHIB N.I. GHOBRIAL Owner 757-436-3630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2011-09-12 |