NPI | 1003951203 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN M MULROONEY Owner 212-358-9123 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 168802) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 168802) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2008-03-17 |