NPI | 1114195179 |
---|---|
Entity Type | Organization |
Authorized Contact | IDRIS DAHOD President 508-363-7344 |
Organization Subpart ? | No |
Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: MA 156574) |
Enumeration Date | 2008-02-13 |
Last Update Date | 2008-02-13 |