| NPI | 1629391180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALIL A KAID Owner 347-581-0834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NJ 25MA08008500) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2015-04-02 |