| NPI | 1962841460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GODWIN OBINNA UZOMBA President 980-299-0223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: SC 23415) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2019-07-30 |