NPI | 1417930447 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH DRAKE HOLLIER President Of Organization Md 318-473-8188 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2005-11-23 |
Last Update Date | 2011-02-11 |