| NPI | 1043352651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWI BULOW President 858-587-4773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G56674) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA G57573) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |