| NPI | 1467811133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROHAN COURTNEY CLARKE Owner 347-200-1410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: TX M8608) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2016-02-23 |