| NPI | 1154847887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GIAN Provider 347-598-2438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D0083786) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2017-08-15 |