| NPI | 1003940354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES VANDEWALL Owner 716-372-9399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 195467-1) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2011-01-07 |