NPI | 1356358055 |
---|---|
Entity Type | Organization |
Authorized Contact | HOWARD JAY CONGRESS Owner 760-778-6153 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA C042254) |
Enumeration Date | 2006-08-02 |
Last Update Date | 2007-08-03 |