| NPI | 1053754804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKEEL AHMAD Sole Owner 716-830-5453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |