| NPI | 1912195561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN D STUART Business Owner 408-847-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA G71509) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |