| NPI | 1144391772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE V WELLS President 716-834-6152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 194653) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2014-07-27 |