| NPI | 1306615752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDHYA DESAI Administrative Director 810-600-2888 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2023-12-27 |