NPI | 1174518179 |
---|---|
Entity Type | Organization |
Authorized Contact | VANDANA Y BHIDE Md 904-827-0032 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME73431) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME73431) |
Enumeration Date | 2005-09-15 |
Last Update Date | 2010-11-10 |