| NPI | 1013205418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYR WILBANKS Program Director General Surgery 718-920-9523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |