| NPI | 1174269039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT G GOURGI President 917-913-9993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2022-05-12 |