| NPI | 1265266530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOWYAD KHALID Owner 347-421-5179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RR0500X Internal Medicine Rheumatology |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-09-20 |