| NPI | 1669070058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMED FARAZ ASLAM Owner 347-480-5287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208D00000X General Practice | |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2021-08-17 |