NPI | 1962802926 |
---|---|
Entity Type | Organization |
Authorized Contact | GUY WINZENREID Medical Director 239-732-1133 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME88304) |
Enumeration Date | 2014-08-27 |
Last Update Date | 2023-05-17 |