| NPI | 1558565622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMIN SOOGRIM Office Manager 212-477-3544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 60087148) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |