NPI | 1154373280 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL GREGORY LUBA Medical Director 831-375-3577 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2006-05-17 |
Last Update Date | 2023-03-27 |