| NPI | 1093410391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINA ELNEMR Owner 239-405-0361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2023-04-04 |
| Last Update Date | 2023-06-09 |