NPI | 1811205545 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD K GORDON Owner 818-772-7090 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G56286) |
Enumeration Date | 2010-09-15 |
Last Update Date | 2011-01-13 |