NPI | 1932779170 |
---|---|
Entity Type | Organization |
Authorized Contact | ZAID BRIFKANI Authorized Official 931-650-0076 |
Organization Subpart ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
Additional Taxonomies | 133VN1004X Dietitian, Registered, Nutrition, Pediatric |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2021-06-29 |
Last Update Date | 2022-08-11 |