NPI | 1992239479 |
---|---|
Entity Type | Organization |
Authorized Contact | BUSHRA SHAH Owner 501-552-4777 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: AR E-3672) |
Enumeration Date | 2017-04-12 |
Last Update Date | 2017-04-12 |