| NPI | 1912325457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRETAM RAMPERSAUD Owner 718-227-1282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2015-06-26 |