| NPI | 1104592484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BABATUNDE EDUN Owner 718-710-9796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |