| NPI | 1245627579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHID HABIB Provider 515-822-5585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0008X Internal Medicine, Hepatology (Licence: AZ 43691) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 43691) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2022-10-15 |