| NPI | 1528633047 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | FRANCISCO D BAUTISTA-MENA Chief Executive Officer 347-964-2817 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology | 
| Enumeration Date | 2021-05-26 | 
| Last Update Date | 2021-05-26 |