| NPI | 1801493069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SLEPIN Vice President 866-459-8701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2021-07-08 |