NPI | 1932533882 |
---|---|
Entity Type | Organization |
Authorized Contact | NATHANIEL SCOTT WINSTEAD Owner 985-601-2662 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: LA 025020) |
Enumeration Date | 2013-08-28 |
Last Update Date | 2014-02-19 |