| NPI | 1003111410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH TAYLOR ROOST President 650-697-9146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA g27727) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2011-01-14 |