NPI | 1093756793 |
---|---|
Entity Type | Organization |
Authorized Contact | JAYSHREE V. GANATRA President 239-689-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology |
Enumeration Date | 2006-06-10 |
Last Update Date | 2020-08-22 |