| NPI | 1376859231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHARLES KUSHLAN President 408-356-0468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2010-08-29 |
| Last Update Date | 2012-06-23 |