| NPI | 1285780692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUMTAZ TABBAA Owner 831-755-6352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A54688) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2018-02-14 |