| NPI | 1194269639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SHAO President 917-597-9954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA08417900) |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2016-12-16 |