| NPI | 1922397298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL IMEVBORE Owner 203-786-5067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2014-05-27 |