| NPI | 1902235880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH THOMAS DIAZ Physician 347-575-9865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 245968) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 245968) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 245968) | |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2014-12-31 |