| NPI | 1972818714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINGO NGO President 772-283-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME31224) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |