| NPI | 1336504125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KISHOR MUNIYAPPA Owner 804-647-3751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: FL ME120003) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2016-06-10 |