| NPI | 1265982375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUMARARVELU BALASUBRAMANIAM Owner 909-881-3032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: A447160) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2022-07-21 |