| NPI | 1417340233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASGHAR M BAJWA Owner 347-605-4946 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: LA MD-203781) |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-03-18 |