| NPI | 1578042446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA SAM Owner 648-877-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 240112) |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2018-08-10 |