| NPI | 1730138231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT SRIYUKTASUTH-WOO Office Manager 601-932-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MS 17286) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2011-01-19 |