| NPI | 1053500561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHOLAMREZA RASOULI Sole Owner 909-289-4906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CA A85426) |
| Enumeration Date | 2007-10-20 |
| Last Update Date | 2007-10-20 |