| NPI | 1861925430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHULAM MUJTABA Owner 917-432-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35097038) |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |