| NPI | 1871971531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEOPHILUS OGUNGBAMIGBE Sole Mbr 917-517-4069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine |
| 207QS1201X Family Medicine, Sleep Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2024-05-06 |