NPI | 1871707331 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK A RUBIN Owner 318-325-1087 |
Organization Subpart ? | No |
Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: LA 15728) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 15728) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2008-01-07 |