| NPI | 1699761197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI AL-MUDAMGHA President 315-234-0906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology |
| 207RI0011X Internal Medicine, Interventional Cardiology | |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2012-03-15 |