| NPI | 1063618593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOURAJ FARID Owner 304-250-0307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WV 13804) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2013-03-22 |