| NPI | 1235270489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA GRAFTON Office Manager 707-257-0447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA G56990) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: CA G025327) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |