| NPI | 1487928693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADIL H AL-HUMADI President 716-372-9629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: NY 120097-1) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |