| NPI | 1346484565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHMUDUL HAQUE Owner 863-802-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME93947) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2014-10-30 |