| NPI | 1760629497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN ROSIORU ROSS Member 239-689-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: FL ME69256) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |