| NPI | 1447671714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUMAR BALASUBRAMANIAM Owner 909-851-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A447160) |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-03 |