| NPI | 1609964139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GOPI VASUDEVAN Owner 918-331-2544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OK 20059) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |