| NPI | 1518047810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJAZ BASHIR SHAWL Partner 315-492-5791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-05-06 |