| NPI | 1972565612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINOD C THAKKAR President 863-385-5129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2010-11-16 |