| NPI | 1437236148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL TUPAS BARRIDO President 765-662-9870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: IN 50003969A) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-11-10 |