| NPI | 1417153693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT RICHARD WISE President 212-263-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NY 199091) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2007-07-26 |