| NPI | 1457428559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJIV SHAH Sole Member 518-483-0705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 168997) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 168997) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-11-23 |