| NPI | 1851825947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYEZA MOHSIN Owner 097-962-1196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease (Licence: NJ 25MB05436700) |
| 207Q00000X Family Medicine | |
| 208600000X Surgery | |
| 2086S0129X Surgery Vascular Surgery | |
| 208D00000X General Practice | |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2025-07-22 |