| NPI | 1073715819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHOK KUMAR DHADUVAI Provider 941-729-6818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME0060506) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2025-02-25 |