| NPI | 1922588896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMEER SIDDIQUE Managing Partner 346-666-6616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2020-09-21 |