| NPI | 1437609807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED KHALAF Manager 716-438-3546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 202334) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 202334) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |