| NPI | 1013401975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HAHN MOON Employee 619-800-6713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: a76947) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2023-03-22 |