NPI | 1073662060 |
---|---|
Entity Type | Organization |
Authorized Contact | BONAVENTURE F ENG Owner 805-497-0961 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G22291) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2012-10-31 |