| NPI | 1376720813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALEED IBRAHIM Owner 209-334-7559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A77739) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |