| NPI | 1649585399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOPI KRISHNA PUNUKOLLU Doctor 347-350-9344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 244121) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2010-08-18 |