| NPI | 1093952152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYSHREE GANATRA President 239-561-6365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL ME82537) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2018-03-29 |