| NPI | 1477888444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYSHREE MATADIAL President 772-359-0091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME77972) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2020-05-26 |