| NPI | 1649865981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHUMMED RADWAN KHANI Colorectal And General Surgeon 347-820-4943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2022-03-09 |