| NPI | 1477670735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCO D BAUTISTA Owner 718-601-3048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 171183) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |