NPI | 1982726766 |
---|---|
Other Name | NA |
Entity Type | Organization |
Authorized Contact | PETER E. BALSAM Owner 321-264-3330 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME46070) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2010-01-27 |