| NPI | 1023183415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY ROBERT BOTSTEIN Sole Proprietor 404-299-0187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |