| NPI | 1023474442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE ALYSE WINTZ Surgeon 858-565-0104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0127X Surgery, Trauma Surgery (Licence: CA 138581) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-11-11 |