NPI | 1760997381 |
---|---|
Entity Type | Organization |
Authorized Contact | HAMZA W. SHAH Owner 304-342-0821 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: WV 3176) |
Enumeration Date | 2017-12-05 |
Last Update Date | 2018-03-16 |