| NPI | 1114166733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUDIT JAIN Md 954-585-6292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME75960) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-07-16 |