| NPI | 1982718979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARIM BAKHTIAR President Owner 414-384-2688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2012-09-28 |