| NPI | 1871526376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN JOSEPH GILLIS Physician 207-465-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: ME 1513) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |