| NPI | 1891496048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NESREEN KHRAISHA Md 423-807-0069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-04-03 |