NPI | 1396020947 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN SAM DAVIDSON CEO 209-751-7165 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine |
Enumeration Date | 2011-10-14 |
Last Update Date | 2011-10-14 |