| NPI | 1164611372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PERSAUD President 605-217-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: SD 3500) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-12-17 |