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 |