NPI | 1669598355 |
---|---|
Entity Type | Organization |
Authorized Contact | KOMGIRT CHUKIERT Physician 315-735-2294 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 221225) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2012-11-21 |