| NPI | 1164515276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL CROITORU Gastroenterologist 208-467-3432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: ID M-5744) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-02-05 |