| NPI | 1922088376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED ELAHMADY Medical Director 563-242-3208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2009-08-05 |