| NPI | 1023327319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER L GOODMAN President 804-559-0423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: VA 0101019253) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |