| NPI | 1184996514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES D LAX Owner 212-988-5740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 152612) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-04-27 |