| NPI | 1982479598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDHYA DESAI Administrative Director 810-600-2888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2023-11-24 |
| Last Update Date | 2023-11-24 |