| NPI | 1053719898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DOUGLAS PUGH Owner 619-482-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA 20A12102) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-10 |