| NPI | 1336320613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREM C KUMAR Owner 480-985-9005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AZ 12854) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2014-11-04 |