| NPI | 1821296013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRITI M SHAH Office Manager 954-583-7267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME52146) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME35816) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2011-11-22 |