| NPI | 1952179350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETAN K SHAH President 949-744-5441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-12-14 |
| Last Update Date | 2024-02-02 |