| NPI | 1902140635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUL GHAFOUR BAHRO President/Owner 601-529-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MS 16080) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2022-12-09 |