NPI | 1093901241 |
---|---|
Entity Type | Organization |
Authorized Contact | CONSTANTINE GREGORY MAROUSIS Owner 941-366-1400 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME73113) |
Enumeration Date | 2007-09-21 |
Last Update Date | 2010-11-08 |