| NPI | 1467161349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY YAKUBOV Md 929-588-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2024-10-29 |