NPI | 1962728394 |
---|---|
Entity Type | Organization |
Authorized Contact | IKECHUKWU ERIC IBEGBU Owner/Provider 910-577-3636 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NC 200401229) |
Enumeration Date | 2010-04-09 |
Last Update Date | 2017-03-03 |