| NPI | 1861091878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT SIU President 862-239-6667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |