| NPI | 1811320203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALID ALMUTI Owner 917-969-1281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 35819) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2018-08-16 |