NPI | 1669883435 |
---|---|
Entity Type | Organization |
Authorized Contact | HENRY JOSEPH VAN PALA Owner/Provider 919-662-8633 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 28586) |
Enumeration Date | 2014-05-15 |
Last Update Date | 2014-06-24 |