| NPI | 1205021052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JATINDER DHALIWAL Manager 863-419-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME0069617) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2009-04-15 |