| NPI | 1952628851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAVEH SADEGHI Sole Proprietor 716-201-9026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0070134) |
| Enumeration Date | 2010-05-01 |
| Last Update Date | 2010-05-01 |