| NPI | 1104139070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYUN GEUN JAE President 718-321-3210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 241219) |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-11-02 |