NPI | 1588246078 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN ROBERT DEBANTO Physician/Owner 818-659-7444 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2021-04-23 |
Last Update Date | 2021-04-23 |