| NPI | 1376781591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAURANG S SHETH Owner 716-832-0618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 141182) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 172538) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-01-26 |