| NPI | 1679507925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PURNA PARIKH Trustee/Secratery 386-775-4720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: FL ME0060089) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2009-04-17 |