| NPI | 1871784504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAXIM KREDITOR Md/Owner 212-448-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology (Licence: NY 216136) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2012-08-16 |