| NPI | 1932635596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHEMIL VIDAL Practice Administrator 408-829-6347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |