| NPI | 1790958262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSSAIN AL-DARSANI Owner 909-287-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: CA A687821) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2024-07-18 |