| NPI | 1114115904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAN-SIAK MAK President 209-722-1565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A26785) |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2007-10-05 |