| NPI | 1265768071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASAF A GAVE Owner 718-983-9530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 221253) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: NY 221253) |
| 2086S0127X Surgery, Trauma Surgery (Licence: NY 221253) | |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2009-10-29 |