| NPI | 1982782231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUDIN VITTAL Owner 408-926-2182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CA A252860) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2017-05-10 |