| NPI | 1740566124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAKESH GROVER President 760-242-0375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CA A52860) |
| Additional Taxonomies | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A53155) |
| Enumeration Date | 2011-10-28 |
| Last Update Date | 2011-10-28 |