| NPI | 1487279725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RORY HANSEN Credentialing Liaison 212-427-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |