| NPI | 1922041771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILSON MICHAEL Authorized Official 716-887-4093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-22 |