NPI | 1942343884 |
---|---|
Entity Type | Organization |
Authorized Contact | TEODORO G MEDINA President 304-842-5449 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2007-02-14 |
Last Update Date | 2007-11-20 |