| NPI | 1942609649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE NINA KOWAL Owner 239-596-5220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: FL ME0062925) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |