| NPI | 1407908445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHENDRA DEVSHIBHAI SHAH Director 180-476-1016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: VA 0101045906) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |