| NPI | 1386892255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON H TESFAU Owner/President 347-879-2645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 41174) |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-09 |