| NPI | 1881975936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IDRIS TALIB President 704-206-1270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 251S00000X (Licence: NC C001341) | |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2012-07-23 |