| NPI | 1093742611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDEEP S. PUREWAL Owner/Md 304-723-4041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WV 19873) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2012-07-09 |