| NPI | 1164644886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED MZA SIDDIQI President 304-255-9278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WV 11832) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2011-07-06 |