| NPI | 1649470790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAJUDDIN M JIVA Owner 716-334-9879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 183042) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2025-02-06 |