| NPI | 1013309509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DENNIS Md 657-237-2450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2024-03-21 |